Healthcare Provider Details

I. General information

NPI: 1801585179
Provider Name (Legal Business Name): ALWOOD CHIROPRACTIC CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W DEPOT ST
ONEIDA IL
61467-5175
US

IV. Provider business mailing address

PO BOX 416
ONEIDA IL
61467-0416
US

V. Phone/Fax

Practice location:
  • Phone: 309-483-6199
  • Fax: 309-296-0585
Mailing address:
  • Phone: 309-483-6199
  • Fax: 309-296-0585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER T STANFIELD
Title or Position: DOCTOR
Credential: DC
Phone: 309-335-7199